| NPI | 1336828458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24501640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0006329) |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 277861) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-03-11 |